[논문]국내 인지기반 작업수행(Cognitive Orientation to daily Occupational Performance; CO-OP) 중재의 연구 동향 분석: 체계적 고찰

유영미; 최유임

doi:10.22683/tsnr.2022.11.4.007

국내 인지기반 작업수행(Cognitive Orientation to daily Occupational Performance; CO-OP) 중재의 연구 동향 분석: 체계적 고찰
Analysis of Research Trend on Cognitive Orientation to daily Occupational Performance (CO-OP) in Korea: A Systematic Review 원문보기

Therapeutic science for rehabilitation = 재활치료과학, v.11 no.4, 2022년, pp.7 - 22

유영미 (원광대학교 작업치료학과) , 최유임 (원광대학교 환경과학연구소)

초록
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목적 : 본 연구는 국내 CO-OP 중재 연구를 체계적으로 고찰하여 임상적 근거를 제공하고자 한다. 연구방법 : 본 연구는 2015년 1월부터 2021년 12월까지 학술연구정보서비스(RISS), 학술교육원(e-article) 데이터베이스에 게재된 문헌 중 선정기준에 적합한 13편의 논문을 최종적으로 선택하여 연구 방법의 내용에 따라 일반적 특성과 질적 수준으로 나누어 분석하였다. 결과 : 연구 내용을 분석한 결과, 2015년 이후 연구가 지속적으로 진행되었으며 CO-OP 중재 연구의 근거 수준은 개별대상연구가 주를 이루었다. 연구 대상은 아동과 성인 모두에게 적용되고 있었으며, CO-OP 중재의 목표 활동 영역으로 아동은 놀이와 여가, 성인은 수단적 일상생활 영역으로 나타났다. 중재의 효과를 살펴보기 위한 평가로는 COPM과 PQRS 평가를 많이 사용하였으며 구체화 전략으로는 아동은 자세, 집중하기, 과제변형, 언어적 상상을 많이 사용하였고 성인은 자세, 집중하기, 과제변형, 움직임에 대한 느낌, 언어적 상상, 과제 촉진 언어를 주로 사용한 것으로 나타났다. 결론 : 본 연구를 통해 국내 CO-OP 중재를 적용한 연구의 특성과 질적 수준을 확인할 수 있었다. CO-OP 중재가 작업치료 분야에서 지속해서 적용되고 있으며, 적용 연령과 진단군이 확대되고 있음을 알 수 있었다. 국내 CO-OP 중재 연구의 체계적 고찰을 통해 임상에서 CO-OP 중재를 실행하기 위한 근거 자료를 제공하였다는 데 의의가 있다.

Abstract ▼ AI-Helper

Objective : This study aims to provide clinical evidence by systematically reviewing domestic CO-OP intervention studies. Methods : 13 papers suitable for selection criteria were finally selected and conducted. The analysis was divided into general characteristics and qualitative levels. Results : As a result of analyzing the contents of study, research has been conducted continuously since 2015, and the level of evidence for CO-OP intervention study was mainly single subject design. The subjects of the study were applied to both children and adults, and as the target activity areas of CO-OP intervention, children were shown to be play and leisure, and adults were instrumental daily living. COPM/PQRS were frequently used for evaluation to examine effectiveness of interventions. For domain specific strategies, children used body position, attention to doing, task specification, and verbal motor mnemonic. For adults, body position, attention to doing, task specification, and feeling to movement, verbal motor mnemonic, verbal rote script were used. Conclusion : It was found that CO-OP intervention is continuously being applied in occupational therapy, and age and diagnosis group are expanding. It is significant in that it provided evidence for implementing CO-OP interventions in clinical practice through a systematic review of domestic CO-OP intervention studies.

주제어

표/그림 (8)

그림 Figure 1. Flow Diagram of the Article Selection Process
표 Table 1. Levels of Evidence for Occupational Therapy Outcomes Research
표 Table 2. The General Characteristics of Analyzed Studies
표 Table 3. Classification of Targeting Activities
표 Table 4. Frequency of Domain-Specific Strategies Used During CO-OP Intervention
표 Table 5. Assessment Areas Tools
표 Table 5. Assessment Areas Tools (continued)
표 Table 6. Levels of Evidence for Occupational Therapy Outcomes Research

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